Back to the Future: Bridging the Hospital to Home Continuum After Hip Fracture (B2F)

A Feasibility Study Investigating Telephone Supported Discharge From Acute Care to the Community After Hip Fracture

The purpose of this study is to determine whether is is feasible and acceptable to deliver a telephone based coaching intervention compared with education alone in community dwelling older adults (age 60 and older) after a fall related hip fracture.

The investigators propose a randomized controlled trial design to inform the development of a larger scale study to test effectiveness of a clinician supported telephonic self management intervention for older adults after hip fracture. The primary aim is to determine feasibility and acceptability of the intervention, and the secondary aim is to measure statistical trends on quality of life at 4 months after fracture in community dwelling older adults. In parallel, we will conduct a process evaluation to ascertain key features of the intervention via qualitative interviews of participants and health care professionals involved in delivery of the intervention.

A 1 hour education session in the acute setting A toolkit with education, exercise and self management instructions for after hip fracture

A 1 hour education session in the acute setting A telephone delivered self management program , including a toolkit (education, exercise and self management instructions for after hip fracture), support to take an active role in recovery, including setting and monitoring goals, problem solving mobility barriers, and guidance on the recovery process following a hip fracture.

The participants will receive up to 5 telephone calls of 30-45 minutes each after hospital discharge to provide support and education for the transition from acute to community care. The first call will be made within 48-72 hours of hospital discharge and will have the following elements: Health Status Medication Management Activity/Exercise Prescription and Goal-Setting Falls Prevention Clarification of Appointments Coordination of Post-Discharge Home Services What To Do If a Problem Arises

An educational toolkit will be provided, with materials to self manage at home after hospital discharge following a fall related hip fracture

The EQ5D-5L Quality of Life outcome measure is a self reported questionnaire measure, and has been extensively investigated in the hip fracture population, with well established sensitivity, reliability and validity properties.

The DEMMI is a clinical instrument for measuring mobility in older adults. Interval levels are obtained from 0 (poor mobility) to 100 (excellent mobility)

Inclusion Criteria: Adults (men and women) over 60 years of age Fall related hip fracture Community dwelling English speaking Exclusion Criteria: Dementia Medical co-morbidities precluding physical activity (significant heart failure, palliative conditions etc.) Profound hearing loss